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Home My WebLink AboutF2023-0248 - PermitsagWPpRT City of Newport Beach II11111111111111111111111 ��II�III��I��I�II�I��I��I II COMB Permit: F2023-0248 0� @ Community Development Department- Building Division F 2 0 2 3 0 2 4 8 �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1288 u S Permit Counter Phone: (949) 718-1888 ems.. newportbeachca.gov/civic Issued Date °q<rFoaN`" Combination Type - SFP Inspection Area : 5 Work Class - New PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 4539 FAIRFIELD DR Legal Desc : N TR 3357 BLK LOT 53 Description : SFR FIRE SPRINKLER SYSTEM 83 HEADS (X2021-2170) Owner: MRMP LLC Contractor: MIKE BILKA FIRE PROTECTION Architect Address : 4539 ROXBURY RD Address : 114 LAS FLORES Address CORONA DEL MAR, CA 92625 ALISO VIEJO, CA 92656 Phone : (714) 422-7565 Phone: (949) 305-8670 Phone: Con State Lic : 958115 State Lic Lic Expire : 02/28/2025 ll Applicant: MIKE BILKA FIRE PROTECTION Bus Lic: BT30052024 Engineer Address : 114 LAS FLORES Bus Lic Expire : 08/31/2023 Address ALISO VIEJO, CA 92656 Phone: (949) 305-8670 Workers' Compensation Insurance Phone: Carrier: TECHNOLOGY INS CO INC Owner/Builder : Policy No: TWC4151499 Designer: MIKE BILKA FIRE PROTECTION Address: W. C. Expire: 8/24/2023 Address : 114 LAS FLORES ALISO VIEJO, CA 92656 Phone: Phone: (949) 305-8670 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $6,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/Newsq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 6, Front: 30, Side: 6, Side: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from Iieensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicantto a civil penalty of Tot more than five hundred dollars ($500), I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The. Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not bulk or mproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors tD construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds of improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). � �I 1 am exempt from hCensure under the Contractors' Slate License Low for (he following reason: By my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot iegall) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code„ is available Upon request when this application is submitted or at the following Web site:http:Uwww.laginfo.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) OLVvisiori 3 of the Business and Pr sions Code, and my license is In full force and effect. License Class License No Dot SA O -3 Contractor Sgmatur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED T OUSANO DOLLARS 16100,000j, IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAaOR CODE, INTEREST, AND ATTORNEYS FEES. IIhnhereby affirm under penalty of perjury one of the following declarations: El I have and wll maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th �p o�rrm,a��nce of the work for which this permit is issued. Policy No. iaf we and will maintain workers' compensation insurance, as required by Section 3700 of the. Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi s nce carrier and policy number are: :otter Policy Number Expiration Date Jame of Agent Phone If ]I certify that, in the p rformance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should Deco subject to the workers Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applies Date, SZSO/>�3 )ECLARATION REG RDI CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Settler 3097, Civil ode). .enders Name Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and co illy rdinances and state laws relating to building construction. /lbate I authorize representatives of this city or county nter the above -identified property for inspection purposes. S1_ 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam a �KF' /3°'f�9 3019A ACTION DATE BY D ARATIONOF COMPLIANCEWITH CODEOF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I S IBMITTED ASB_ETDS NOTIFICATION TO PERMIT CRNCELCED PERMJTEXTENDED �®t[:"A—_— S-r-•�r� rnIM7 _ PERMIT FINAL EI',` (rr 1V1°I�1` _ ( I-„J ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OE PROPOSED DEMOLITION OCCUPANCY155UEO Sirtil RE,